中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2010年
6期
486-489
,共4页
杨梅华%黄轶%杨华安%刘仕勇%杨辉%安宁%黄婷%刘立红%石先俊%蔡方成%张琴
楊梅華%黃軼%楊華安%劉仕勇%楊輝%安寧%黃婷%劉立紅%石先俊%蔡方成%張琴
양매화%황질%양화안%류사용%양휘%안저%황정%류립홍%석선준%채방성%장금
癫痫%脑电描记术%单光子发射计算机断层扫描
癲癇%腦電描記術%單光子髮射計算機斷層掃描
전간%뇌전묘기술%단광자발사계산궤단층소묘
Epilepsy%Electroencephalography%SPECT
目的 探讨视频脑电图(VEEG)、发作期SPECT在术前痫灶定位中的作用.方法 回顾性对比分析48例难治性癫痫患者术前所行长程VEEG与发作期SPECT定位的情况,比较两者定位的一致性.结果 发作期SPECT定位阳性率为94%,VEEG为96%.两者完全一致占46%,部分一致占29%,完全不一致占25%.阳性率及定侧率差异无统计学意义(P＞0.05),局灶定位差异有统计学意义(P＜0.01).随访结果显示48例患者中Engel Ⅰ级27例,Ⅱ级10例,Ⅲ级8例,Ⅳ级3例;其中EngelⅠ～Ⅱ级的37例中33例来自两者定位一致的患者.结论 发作期SPECT与VEEG检查有较高的一致性,两者联合应用优势互补,可提高定位准确性,获得良好的手术疗效.
目的 探討視頻腦電圖(VEEG)、髮作期SPECT在術前癇竈定位中的作用.方法 迴顧性對比分析48例難治性癲癇患者術前所行長程VEEG與髮作期SPECT定位的情況,比較兩者定位的一緻性.結果 髮作期SPECT定位暘性率為94%,VEEG為96%.兩者完全一緻佔46%,部分一緻佔29%,完全不一緻佔25%.暘性率及定側率差異無統計學意義(P＞0.05),跼竈定位差異有統計學意義(P＜0.01).隨訪結果顯示48例患者中Engel Ⅰ級27例,Ⅱ級10例,Ⅲ級8例,Ⅳ級3例;其中EngelⅠ～Ⅱ級的37例中33例來自兩者定位一緻的患者.結論 髮作期SPECT與VEEG檢查有較高的一緻性,兩者聯閤應用優勢互補,可提高定位準確性,穫得良好的手術療效.
목적 탐토시빈뇌전도(VEEG)、발작기SPECT재술전간조정위중적작용.방법 회고성대비분석48례난치성전간환자술전소행장정VEEG여발작기SPECT정위적정황,비교량자정위적일치성.결과 발작기SPECT정위양성솔위94%,VEEG위96%.량자완전일치점46%,부분일치점29%,완전불일치점25%.양성솔급정측솔차이무통계학의의(P＞0.05),국조정위차이유통계학의의(P＜0.01).수방결과현시48례환자중Engel Ⅰ급27례,Ⅱ급10례,Ⅲ급8례,Ⅳ급3례;기중EngelⅠ～Ⅱ급적37례중33례래자량자정위일치적환자.결론 발작기SPECT여VEEG검사유교고적일치성,량자연합응용우세호보,가제고정위준학성,획득량호적수술료효.
Objective To investigate the value of ictal single photon emission computed tomography and VEEG in localization of epileptogenic foci for intractable epilepsy. Method The data of ictal SPECT and VEEG were reviewed from 48 patients with intractable epilepsy, all the results were analyzed and compared with each other. Surgical treatment were performed on 48 cases. Results The positive rate of ictal SPECT and VEEG localization was 94% and 96% respectively. The rate of complete coincidence of the two methods was 46% (22/48), partial coincidence was 29% (14/48). Comparing ictal SPECT with video EEG in the ratio of lateral and focal epileptic foci localization, twenty - seven of 48 patients had an Engel Class Ⅰ outcome after surgery and an additional ten patients had rare seizure (Engel Class Ⅱ), and eight patient had a decrease in seizure frequency (Engel Class Ⅲ) , no marked chang (Engel Class Ⅳ) in three patients. In Engel Class Ⅰ and Class Ⅱ outcome cases, there were 33 (out of 37) cases came from its coincidence of ictal SPECT and VEEG localization. Conclusions VEEG combined with ictal SPECT can increase the accuracy on localization of epileptogenic foci for intractable epilepsy.
